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General NPI Number Information
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NPI Number | 1902260177
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Entity Type | Individual
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Provider Name | CHERYL ANN ILER LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 1306 LAKE VIEW AVE STE B
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City | SNOHOMISH
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State | WA
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Zip | 98290-1844
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Country | US
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Telephone | 425-220-0286
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Fax |
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Provider Business Mailing Address
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Address Line | 5606 144TH ST SE
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City | EVERETT
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State | WA
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Zip | 98208-9364
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Country | US
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Telephone | 206-604-7159
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61090897
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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